Marshall Speech Center
Donna B. Kuhn, M.A., CCC-SLP
Huntington, WV 25705
555-6645

October 23, 2002

Melissa N. Fallow, M.A., CCC-A
Charleston University
1186 Worthington Ave.
Andersen, SC 86219

Re: Joey Potter
DOB: 8/22/81

Dear Mrs. Fallow,

Joey Potter, a four year two month old female is being referred for a complete audiological evaluation. I saw Joey for a speech and language evaluation on October 22, 2002 at the Marshall Speech Center in Huntington, WV. Joey’s parents referred her to the clinic, stating in the case history that Joey, “doesn’t respond to loud noises like most kids do and when you talk to her, it’s like she’s in another world.” Her parents also said that in order to ask Joey a question, “you have to make her look at you and then repeat it once or twice.”

During conversation, Joey’s speech was characterized by hyponasal resonance and she had problems differentiating between voiced and voiceless cognates.

Joey has a history of chronic otitis media, but has not been previously evaluated by a speech language pathologist or audiologist. Joey’s mother also stated during the interview immediately before the evaluation that Joey had difficulty following directions at her preschool and “needs them to be repeated several times to understand what she needs to do" (Owens, 1996).

Joey did not pass a pure tone air conduction hearing screening in either ear, as she failed to respond to tones at 2000 and 4000 Hz. Joey’s tympanograms were normal and showed no sign of tympanic membrane dysfunction (Owens, 1996).

A copy of the evaluation report is enclosed along with a copy of the parents’ written consent to release this information. Please send me a copy of your examination report and do not hesitate to call if you have any questions regarding this client. Thank you for your help.

Sincerely,

Donna B. Kuhn, M.A., CCC-SLP

(Adapted from Pannbacker, 1992)